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KATY SUPPORTIVE MEDICINE, P.A.
NPI 1346645066
Internal Medicine in Katy, TX

Active since October 23, 2014CLIA Certified · 2 labs
205 BELLA KATY DR, KATY, TX 77494(281) 665-4032(281) 665-1206 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 2, 2022, Jul 25, 2019 (2 updates tracked since 2019).

About Katy Supportive Medicine, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATY SUPPORTIVE MEDICINE, P.A. (NPI 1346645066) is a healthcare organization registered as an internal medicine in Katy, Texas and active in the NPI registry since October 2014. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Richmond, and lists Sandra Perez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1346645066
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKATY SUPPORTIVE MEDICINE, P.A.
Location Address205 BELLA KATY DRKaty, TX 77494-6821
Mailing Address21700 Bellaire BlvdRichmond, TX 77407-3906 · (281) 599-0300 · Fax (281) 599-7807
Phone(281) 665-4032
Fax(281) 665-1206
Organization SubpartNo
Authorized OfficialSandra PerezOffice Manager · (281) 665-4032
Enumeration DateOctober 23, 2014
Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
✔ NPI 1346645066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · N6844
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License N6844 (TX)
205 BELLA KATY DR, Katy, TX 77494
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Secondary Practice Location 1

Location 121700 Bellaire Blvd Ste 1520Richmond, TX 77407-3913 · Phone (281) 599-0300 · Fax (281) 599-7807

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katy Supportive Medicine, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Katy Supportive Medicine, P.A., which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Shaunna Caouette, NP
Nurse Practitioner
NPI 1275178675
25515 AUTUMNWIND CT
Katy, TX 77494
(832) 270-1322
✔ PECOS2.5 mi
Amy Frey, MSN, APRN, FNP
Nurse Practitioner
NPI 1740028729
22522 COVE HOLLOW DR
Katy, TX 77450
(281) 705-8762
✔ PECOS✔ Accepts Medicare4.2 mi
Gail Donley-Urita, MD
Hospitalist
NPI 1699810390
21700 BELLAIRE BLVD STE 1520
Richmond, TX 77407
(281) 599-0300
✔ PECOS✔ Accepts Medicare5.5 mi
Staci Larkin, RDN, LD
Registered Dietitian or Nutrition Professional
NPI 1295242402
21700 BELLAIRE BLVD STE 1520
Richmond, TX 77407
(361) 298-0920
5.5 mi
Tonya Maxwell, FNP
Nurse Practitioner
NPI 1144277500
21700 BELLAIRE BLVD
Richmond, TX 77407
(281) 599-0300
✔ PECOS✔ Accepts Medicare5.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2092023

Katy Supportive Medicine PA · Richmond, TX
Active · expires Feb 23, 2027
CLIA Number45D2092023
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorGail E. Donley-Urita
Laboratory Phone(281) 599-0300
Laboratory LocationKaty Supportive Medicine PA21700 Bellaire Blvd, Richmond, TX 77407
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2260642

Katy Supportive Medicine · Katy, TX
Active · expires Feb 19, 2027
CLIA Number45D2260642
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorGail Donley-Urita
Laboratory Phone(281) 665-4030
Laboratory LocationKaty Supportive Medicine205 Bella Katy Drive, Katy, TX 77494
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katy Supportive Medicine, P.A.'s NPI number?

The NPI number for Katy Supportive Medicine, P.A. is 1346645066. It was assigned to this organization in the NPPES registry on October 23, 2014.

Where is Katy Supportive Medicine, P.A. located?

Katy Supportive Medicine, P.A. is located at 205 Bella Katy Dr, Katy, TX 77494. The listed phone number is (281) 665-4032.

What is Katy Supportive Medicine, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Katy Supportive Medicine, P.A. enrolled in Medicare?

Yes. Katy Supportive Medicine, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Katy Supportive Medicine, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Katy Supportive Medicine, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Hospitalist (1) and Registered Dietitian or Nutrition Professional (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Katy Supportive Medicine, P.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Katy Supportive Medicine, P.A. was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.